Gray Heather M, Nelson Sarah E, Shaffer Howard J, Stebbins Patricia, Farina Andrea Ryan
Division on Addiction, Cambridge Health Alliance, Harvard Medical School.
Division on Addiction, Cambridge Health Alliance; Harvard Medical School.
J Community Psychol. 2017 Sep;45(7):888-905. doi: 10.1002/jcop.21900. Epub 2017 Aug 10.
Among people experiencing homelessness, difficulty securing housing is often compounded by concurrent challenges including unemployment, chronic illness, criminal justice involvement, and victimization. The Moving Ahead Program (MAP) is a vocational rehabilitation program that seeks to help adults facing these challenges to secure competitive employment. We prospectively studied how MAP graduates (N = 97) changed from the beginning of MAP to about six months after graduation. We observed a variety of positive outcomes not just in employment and housing but also in health, substance use, and criminal justice involvement. However, these gains were not universal; for instance, participants were less likely to report positive outcomes at follow-up if they started MAP with a serious mental illness, made relatively small gains in work skills, or did not seek mental health treatment during the six months after they completed MAP. These findings might encourage program staff to devote additional resources toward supporting at-risk students.
在无家可归者中，难以获得住房的困境往往因包括失业、慢性病、刑事司法介入和受害等并发挑战而更加复杂。“不断前进计划”（MAP）是一项职业康复计划，旨在帮助面临这些挑战的成年人获得有竞争力的就业机会。我们前瞻性地研究了MAP毕业生（N = 97）从MAP开始到毕业后约六个月的变化情况。我们观察到了各种积极成果，不仅在就业和住房方面，还在健康、药物使用和刑事司法介入方面。然而，这些收获并非普遍存在；例如，如果参与者在开始MAP时患有严重精神疾病、工作技能提升相对较小，或者在完成MAP后的六个月内未寻求心理健康治疗，那么他们在随访时报告积极成果的可能性就较小。这些发现可能会促使项目工作人员投入更多资源来支持有风险的学生。
